PDF(Pubmed)
Abstract：
BACKGROUND: Research evidence has demonstrably improved health care practices and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspectives of senior health service executives on two issues: (1) the alignment between local research activity and the needs and priorities of their health services, and (2) the extent to which research is or can be integrated as part of usual health care practice.
METHODS: In this qualitative study, semi-structured interviews were conducted with senior health leaders from four large health service organisations that are members of Sydney Health Partners (SHP), one of Australia\'s nationally accredited research translation centres committed to accelerating the translation of research findings into evidence-based health care. The interviews were conducted between November 2022 and January 2023, and were either audio-recorded and transcribed verbatim or recorded in the interviewer field notes. A thematic analysis of the interview data was conducted by two researchers, using the framework method to identify common themes.
RESULTS: Seventeen health executives were interviewed, including chief executives, directors of medical services, nursing, allied health, research, and others in executive leadership roles. Responses to issue (1) included themes on re-balancing curiosity- and priority-driven research; providing more support for research activity within health organisations; and helping health professionals and researchers discuss researchable priorities. Responses to issue (2) included identification of elements considered essential for embedding research in health care; and the need to break down silos between research and health care, as well as within health organisations.
CONCLUSIONS: Health service leaders value research but want more research that aligns with their needs and priorities. Discussions with researchers about those priorities may need some facilitation. Making research a more integrated part of health care will require strong and broad executive leadership, resources and infrastructure, and investing in capacity- and capability-building across health clinicians, managers and executive staff.
METHODS: In this qualitative study, semi-structured interviews were conducted with senior health leaders from four large health service organisations that are members of Sydney Health Partners (SHP), one of Australia\'s nationally accredited research translation centres committed to accelerating the translation of research findings into evidence-based health care. The interviews were conducted between November 2022 and January 2023, and were either audio-recorded and transcribed verbatim or recorded in the interviewer field notes. A thematic analysis of the interview data was conducted by two researchers, using the framework method to identify common themes.
RESULTS: Seventeen health executives were interviewed, including chief executives, directors of medical services, nursing, allied health, research, and others in executive leadership roles. Responses to issue (1) included themes on re-balancing curiosity- and priority-driven research; providing more support for research activity within health organisations; and helping health professionals and researchers discuss researchable priorities. Responses to issue (2) included identification of elements considered essential for embedding research in health care; and the need to break down silos between research and health care, as well as within health organisations.
CONCLUSIONS: Health service leaders value research but want more research that aligns with their needs and priorities. Discussions with researchers about those priorities may need some facilitation. Making research a more integrated part of health care will require strong and broad executive leadership, resources and infrastructure, and investing in capacity- and capability-building across health clinicians, managers and executive staff.
摘要：
背景：研究证据已证明改善了医疗保健实践和患者预后。然而,将证据系统地转化为实践远非最佳。原因很复杂,但通常是因为研究与卫生服务优先事项不完全一致。这项研究的目的是探索高级卫生服务主管在两个问题上的经验和观点：（1）本地研究活动与其卫生服务的需求和优先事项之间的一致性，和（2）研究是或可以作为常规医疗保健实践的一部分的程度。
方法：在这项定性研究中，对来自四个大型卫生服务组织的高级卫生领导人进行了半结构化访谈，这些组织是悉尼卫生合作伙伴（SHP）的成员，澳大利亚国家认可的研究翻译中心之一致力于加快研究成果转化为循证医疗保健。采访是在2022年11月至2023年1月之间进行的，无论是录音和逐字记录，还是记录在采访者的现场笔记中。两位研究人员对访谈数据进行了主题分析，使用框架方法识别常见主题。
结果：采访了17位卫生主管，包括首席执行官,医疗服务主管，护理,联合健康,研究,以及其他担任行政领导角色的人。对问题（1）的回应包括重新平衡好奇心和优先级驱动的研究主题;为卫生组织内的研究活动提供更多支持;并帮助卫生专业人员和研究人员讨论可研究的优先事项。对问题（2）的回应包括确定被认为对将研究嵌入医疗保健至关重要的要素；以及打破研究与医疗保健之间孤岛的必要性，以及在卫生组织内。
结论：卫生服务领导者重视研究，但想要更多符合他们需求和优先事项的研究。与研究人员讨论这些优先事项可能需要一些便利。使研究成为医疗保健的更完整的一部分将需要强大而广泛的行政领导，资源和基础设施，并投资于卫生临床医生的能力和能力建设，经理和执行人员。
方法：在这项定性研究中，对来自四个大型卫生服务组织的高级卫生领导人进行了半结构化访谈，这些组织是悉尼卫生合作伙伴（SHP）的成员，澳大利亚国家认可的研究翻译中心之一致力于加快研究成果转化为循证医疗保健。采访是在2022年11月至2023年1月之间进行的，无论是录音和逐字记录，还是记录在采访者的现场笔记中。两位研究人员对访谈数据进行了主题分析，使用框架方法识别常见主题。
结果：采访了17位卫生主管，包括首席执行官,医疗服务主管，护理,联合健康,研究,以及其他担任行政领导角色的人。对问题（1）的回应包括重新平衡好奇心和优先级驱动的研究主题;为卫生组织内的研究活动提供更多支持;并帮助卫生专业人员和研究人员讨论可研究的优先事项。对问题（2）的回应包括确定被认为对将研究嵌入医疗保健至关重要的要素；以及打破研究与医疗保健之间孤岛的必要性，以及在卫生组织内。
结论：卫生服务领导者重视研究，但想要更多符合他们需求和优先事项的研究。与研究人员讨论这些优先事项可能需要一些便利。使研究成为医疗保健的更完整的一部分将需要强大而广泛的行政领导，资源和基础设施，并投资于卫生临床医生的能力和能力建设，经理和执行人员。
